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血管生成素 2 水平可预测感染黄热病病毒患者的死亡率。

Levels of Angiopoietin 2 Are Predictive for Mortality in Patients Infected With Yellow Fever Virus.

机构信息

Medical Investigation Laboratory 60, School of Medicine, University of São Paulo, Brazil.

Department of Internal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.

出版信息

J Infect Dis. 2024 Jul 25;230(1):e60-e64. doi: 10.1093/infdis/jiad389.

Abstract

In 2018 there was a large yellow fever outbreak in São Paulo, Brazil, with a high fatality rate. Yellow fever virus can cause, among other symptoms, hemorrhage and disseminated intravascular coagulation, indicating a role for endothelial cells in disease pathogenesis. Here, we conducted a case-control study and measured markers related to endothelial damage in plasma and its association with mortality. We found that angiopoietin 2 is strongly associated with a fatal outcome and could serve as a predictive marker for mortality. This could be used to monitor severe cases and provide care to improve disease outcome.

摘要

2018 年,巴西圣保罗爆发了一场大规模的黄热病疫情,死亡率很高。黄热病病毒除其他症状外,还可引起出血和弥散性血管内凝血,表明内皮细胞在疾病发病机制中起作用。在这里,我们进行了一项病例对照研究,并测量了血浆中与内皮损伤相关的标志物及其与死亡率的关系。我们发现血管生成素 2 与致命结局密切相关,可作为死亡率的预测标志物。这可用于监测重症病例并提供护理以改善疾病结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cae7/11272082/772639d67132/jiad389f1.jpg

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